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The pre-hospital room is a simulated environment where first-responders encounter different patients in the field. This room can be converted into several different settings such as a park, restaurant, earthquake destruction scene, and a patient’s home. However, this room is primarily staged for disaster and emergency scenarios. It contains a helicopter and ambulance simulator that operates on pneumatic suspension to provide our pre-hospital personnel trainers with the ability to practice patient care en route to the Emergency Department.